During a session, the PMHNP asks a patient with a history of sexual abuse to recall the relationship she had as a child with her parents. The patient responds by saying she has a headache and her stomach hurts, and starts talking about her physical ailments. What is the appropriate response by the ...
Course NRNP-6640-4,Psychotherapy Individ.2020 Summer
Qtr 06/01-08/23-PT27
Test Week 6 Midterm Exam
Status Completed
Attempt Score 73 out of 75
points
Time Elapsed 1 hour, 20 minutes out of 2 hours
Results Submitted Answers
Displaye
d
• Question
1 0 out of 1 points
During a session, the PMHNP asks a patient with a history of sexual abuse
to recall the relationship she had as a child with her parents. The patient
responds by saying she has a headache and her stomach hurts, and
starts talking about her physical ailments. What is the appropriate
response by the PMHNP?
Selected
B.
Answer:
Explain why it is important for the patient to
discuss these memories openly
• Question
2 1 out of 1 points
A PMHNP is assessing ego functioning of his 40-year-old patient by asking
what she feels is the cause of her problems. She attributes her problems
to her overprotective parents not letting her have enough freedom
growing up. Based on her answer, the PMHNP is testing .
Selected
C.
Answer:
defensive and interpersonal functioning
• Question
3 1 out of 1 points
A 28-year-old male patient is experiencing distress related to the
workplace. What might the PMHNP ask to assess affective development?
Selected
D.
Answer:
All of the above.
• Question
4 1 out of 1 points
The PMHNP has been treating a 15-year-old patient with a history of
abuse and neglect. Thirty minutes into their therapy session the patient
jumps up and begins to pace around the room. Utilizing Socratic dialogue
(SD) the PMHNP’s best action
, would be
to:
C.
Selected Say, “I noticed a change. Can you tell me what happened?”
Answer:
• Question
5 1 out of 1 points
The PMHNP understands that anxiety and depression are two disorders in
which their symptoms may overlap. When discussing this, you explain
that the autonomic nervous system is activated and further helps
distinguish anxiety symptoms by making the following points:
Selected
B.
Answer:
“You may experience fear, sweating, and muscle tension.”
• Question
6 1 out of 1 points
A PMHNP is taking a history and wants to assess how the patient copes
with adversity. To do so, the therapist asks questions about the
patient’s belief system. What would be an appropriate question to ask?
Selected
D.
Answer:
All of the above.
• Question
7 1 out of 1 points
A PMHNP is caring for a 21-year-old woman who is suffering from
anxiety and is having difficulty managing stress. Which of the
following would be an appropriate step by the PMHNP?
Selected
D.
Answer:
All of the above
• Question
8 1 out of 1 points
Your patient is a 65-year-old male who has a strained relationship with
his son and daughter. His children refuse to participate in a family
session. The PMHNP asks the patient to draw his family genogram as a
next step to .
Selected
C.
Answer:
provide background information for the patient’s family
structure
• Question
9 1 out of 1 points
A new patient has been informed of the limits of confidentiality, and has
signed informed consent forms. No consent, however, has been obtained
for voluntary “Release of Information.” The patient is 20 years old and
,still lives at home with his parents. He is being treated for depression,
which he attributes to the trouble he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to
see
, how he is doing, the therapist is required to protect patient
confidentiality and not disclose information.
Selected Tr
Answer: u
e
• Question
10 1 out of 1 points
The PMHNP is working with an adult patient who has somatic complaints
caused by a history of childhood abuse. As part of the therapeutic
process, what does the PMHNP do to assess and organize a trauma
history?
Selected
B.
Answer:
Construct a timeline of the patient’s life
• Question
11 1 out of 1 points
The PMHNP is caring for a patient who has acute stress disorder after
experiencing a traumatic event 1 week prior. The PMHNP wants to begin
with a therapeutic framework that follows the adaptive information
processing (AIP) model. What is the priority action for the PMHNP to take?
Selected
A.
Answer:
Focus on the patient’s safety and stabilization
• Question
12 1 out of 1 points
A patient who has borderline personality disorder is meeting with the
PMHNP. When asked about future goals, the patient responds, “I’d like to
go back to school to do what you
do. You know, talk to people all day about their problems. It seems pretty
easy.” How does the PHMNP respond to the client in a way that is free
from any stigmatizing beliefs or judgments?
Selected
C.
Answer:
“You may want to explore the requirements for
becoming a PMNHP.”
• Question
13 1 out of 1 points
The PMHNP is treating a 35-year-old male officer in the military. He
discloses that both of his parents are deceased and that he loved them.
However, he says that he had feelings of inadequacy because his parents
held him to a standard that he could never achieve. He went on to say
that nothing he did ever felt good enough. The PMHNP assesses that this
patient has perfect creases in his uniform with no strings or tags out of
place; she also notices that he has perfect posture and questions him
about ritualistic behaviors. She suspects that this patient has maladaptive
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